Cns Surgery INC

NPI #1396803060 in Muskogee, Oklahoma

Provider Information

NPI Number
1396803060
Entity Type
Organization
Organization Name
Cns Surgery INC
Primary Specialty
Neurological Surgery
Enumeration Date
Dec 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
333 S 38TH ST STE F
ZIP Code
74401-4937
Phone
(918) 682-8087

Authorized Official

Name
DR. CHARLES BERRY FULLENWIDER, M.D.
Title
PRESIDENT
Phone
(918) 682-8087

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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